Enzymatic Process for Obtaining 17 Alpha-Monoesters of Cortexolone and/or Its 9,11-Dehydroderivatives

ABSTRACT

The present invention refers to a new enzymatic process for obtaining 17α-monoesters of cortexolone and/or its 9,11-dehydroderivatives starting from the corresponding 17α,21-diesters which comprises an enzymatic alcoholysis reaction. Furthermore, the present invention refers to new crystalline forms of cortexolone-17α-propionate and 9,11-dehydro-cortexolone 17α-butanoate.

Cortexolone derivatives in which the hydroxyl group at position C-17α is esterified with short chain aliphatic or aromatic acids, and the derivatives of the corresponding 9,11-dehydro derivative, are known to have an antiandrogenic effect.

EP1421099 describes cortexolone 17α-propionate and 9,11-dehydro-cortexolone-17-α-butanoate regarding a high antiandrogenic biological activity demonstrated both “in vitro” and “in vivo” on the animal.

A method for obtaining the above mentioned derivatives is described by Gardi et al. (Gazz. Chim. It. 63, 43 1,1963) and in the U.S. Pat. No. 3,152,154 providing for the transformation of cortexolone, or transformation of 9,11-dehydrocortexolone, in the intermediate orthoester using orthoesters available in the market as a mixture of aprotic solvents such as cyclohexane and DMF, in presence of acid catalysis (ex. PTSA.H₂O). The intermediate orthoester thus obtained can be used as is or upon purification by suspension in a solvent capable of solubilizing impurities, preferably in alcohols. The subsequent hydrolysis in a hydroalcoholic solution, buffered to pH 4-5 preferably in acetate buffer, provides the desired monoester.

Such synthesis is indicated in the diagram 1 below.

However, the monoesters thus obtained were, in the reaction conditions, unstable and, consequently hard to manipulate and isolate (R. Gardi et at Tetrahedron Letters, 448, 1961). The instability is above all due to the secondary reaction of migration of the esterifying acyl group from position 17 to position 21.

It is thus known that in order to obtain the above mentioned monoesters with a chemical purity in such a manner to be able to proceed to the biological tests, it is necessary to use, at the end of the synthesis, a purification process which is generally performed by means of column chromatography.

Furthermore, U.S. Pat. No. 3,152,154 describes how the hydrolysis of the diester in a basic environment is not convenient due to the formation of a mixture of 17α,21-diol, of 17- and 21-monoesters, alongside the initial non-reacted product.

Now, it has been surprisingly discovered that an alcoholysis reaction using a lipase from Candida as a biocatalyst can be usefully applied during the preparation of 17α monoesters of cortexolone, or its 9,11-dehydroderivatives.

As a matter of fact, it has been discovered that such enzymatic alcoholysis of the 17,21-diester of the cortexolone, or of its derivative 9,11-dehydro, selectively occurs in position 21 moving to the corresponding monoester in position 17, as shown in diagram 2 below:

The chemoselectivity of the special enzymatic reaction in alcoholysis conditions, according to the present invention, opens new perspectives for preparation, at industrial level with higher yields, of 17α-monoesters with respect to the methods already indicated in literature.

The diesters serving as a substrate for the reaction of the invention can be prepared according to the prior art, for example following the one described in B. Turner, (Journal of American Chemical Society, 75, 3489, 1953) which provides for the esterification of corticosteroids with a linear carboxylic acid in presence of its anhydride and PTSA monohydrate.

Therefore, an object of the present invention is a process for the preparation of 17α monoesters of cortexolone, and its 9,11-dehydroderivatives, of formula I.

-   -   wherein R is a linear or branched aliphatic or aromatic chain         containing 1 to 10 carbon atoms, characterized in that a         compound of formula II

-   -   wherein R bears the same meaning indicated above,     -   is reacted with a compound having the formula R′OH, wherein R′         is a linear chain containing 1 to 10 carbon atoms, preferably a         C₁-C₈ alkyl, in presence of a lipase from Candida. According to         the present invention R is preferably a C₁-C₄ alkyl, even more         preferably it is selected from among CH₃, CH₃CH₂, CH₃(CH₂)₂ or         CH₃(CH₂)₃.

The dashed symbol in position 9,11 inside the abovementioned formulas I and II means that the double bond can be present (9,11-dehydroderivative) or not present in such position, as shown in the formulas indicated hereinafter

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a DRX spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 2 shows a DSC spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 3 shows an IR spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 4 shows a DRX spectrum of crystalline form II of cortexolone-17α-propionate.

FIG. 5 shows a DSC spectrum of crystalline form II of cortexolone-17α-propionate.

FIG. 6 shows an IR spectrum of crystalline form II of cortexolone-17α-propionate.

FIG. 7 shows a DRX spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 8 shows a DSC spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 9 shows an IR spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 10 shows a DRX spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 11 shows a DSC spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 12 shows an IR spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 13 shows a DRX spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 14 shows a DSC spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 15 shows an IR spectrum of crystalline form III of cortexolone-17α-propionate.

FIG. 16 shows a DRX spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 17 shows a DSC spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 18 shows an IR spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 19 shows a DRX spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 20 shows a DSC spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 21 shows an IR spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 22 shows a DRX spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 23 shows a DSC spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 24 shows an IR spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 25 shows a DRX spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 26 shows a DSC spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 27 shows an IR spectrum of crystalline form I of cortexolone-17α-propionate.

FIG. 28 shows a DRX spectrum of cortexolone-17α-propionate crystallized during the preparation of a cream formulation.

The lipase from Candida used to catalyze the process of the present invention is preferably selected between the lipase from Candida cylindracea (CCL) and lipase from Candida antarctica of type B (CALB).

Lipase from Candida, and in particular the ones from Candida cylindracea and Candida antarctica are proved to be capable of selectively hydrolyzing the ester function in position 21, contrary to the porcine pancreatic lipase (PPL) and to one from Pseudomonas fluorescens (PFL), which are proved to be almost inactive.

The amount of said enzyme, calculated with respect to the initial substrate, may vary depending on the type of enzyme used. In particular, said enzyme is preferably used in an amount in the range of 100 to 1,000,000 U/mmol; more preferably in the range of 1,000 to 1,000,000 U/mmol in case of CCL and in the range of 100 to 100,000 U/mmol in case of CALB. Even more preferably, said enzyme is present at an amount of about 60,000 U/mmol in case of CCL and about 5,000 U/mmol in case CALB.

Furthermore, from an economical/industrial point of view, the possibility to reutilize such enzymes in several cycles without losing the catalytic activity was proved.

The concentration of the initial diesters of formula II is preferably in the range of about 0.01 to 0.15 molar, more preferably about 0.025 molar.

The process of the invention preferably occurs in the presence of an organic solvent, more preferably an aprotic organic solvent.

Said solvent is then preferably selected from among toluene, acetonitrile, tetrahydrofuran, dichloromethane and/or chloroform.

The R′OH alcohol according to the invention is preferably selected from among methanol, ethanol, butanol and/or octanol.

Said alcohol is preferably present at a quantity in the range of about 0.5 to about 50 moles per mole of initial substrate, more preferably 5 moles per mole of substrate.

The process according to the present invention preferably occurs under constant stirring until the initial diester of formula II is dissolved. Subsequently the enzyme used is removed for filtration, preferably filtration on Celite and the monoester of formula I is obtained through evaporation of the solvent under low pressure.

When the compound of formula II is a 17α,21-diester of cortexolone, the reaction time of the process is usually in the range of 20 to 150 hours, preferably in the range of 24 to 72 hours and the reaction temperature is preferably in the range of about 10 to 48° C., more preferably in the range of 20 to 32° C.

Table I below summarizes the reaction conditions and the results of the enzymatic alcoholysis according to the present invention.

TABLE I Enzymatic alcoholysis reaction of 17α,21-diesters of cortexolone to produce the corresponding 17α-monoester. Compound Reaction Yield of the of formula II time monoester of (diester) Enzyme Alcohol Solvent (hours) formula I* Diacetate CCL Octanol Toluene 51 97% CALB Ethanol Toluene 96 67% CALB Octanol Acetonitrile 51 88% Dipropionate CCL Ethanol Toluene 120 73% CCL Butanol Toluene 24 100% CCL Octanol Toluene 28 100% CCL Butanol Acetonitrile 96 91% CCL Butanol Tetrahydrofuran 96 86% CCL Butanol Chloroform 96 10% PPL Octanol Toluene 120 13% PFL Methanol Chloroform 24 0% CALB Octanol acetonitrile 76 91% Dibutanoate CCL Toluene Butanol 74 98% CCL Toluene Octanol 24 98% Divalerate CCL Toluene Butanol 74 81% CCL Toluene Octanol 48% 97% *the conversion percentages were evaluated from the ¹H-NMR spectra from the integrations of signals due to the hydrogens in position 21 of the corresponding diesters and monoesters.

The enzymatic method according to the present invention also proved useful not only for converting 17α-21-diesters of cortexolone or of 9,11-dehydro-cortexolone: in particular the 17α-butanoate of 9,11-dehydrocortexolone was obtained starting from the corresponding dibutanoate preferably using the CCL enzyme and methanol as an acceptor alcohol of the acyl group.

The concentration of the initial 9,11-dehydro derivatives is preferably in the range of 0.01 to 0.15 molar, more preferably 0.025 molar.

In this case, the reaction time is preferably in the range of 45 to 55 hours, preferably 53 hours.

Also in this case the reaction temperature is preferably in the range of 10 to 48° C., more preferably in the range of 20 to 32° C.

Table 2 below shows the reaction conditions of the enzymatic alcoholysis of 17α,21-dibutanoate of 9,11-dehydrocortexolone and the related final yield of the respective monoester.

TABLE 2 Enzymatic alcoholysis reaction of I7α,21-diesters of 9,11-dehydro- cortexolone to produce the corresponding 17α-monoester. Compound Reaction Yield in of formula II time compound of (diester) Enzyme Alcohol Solvent (hours) formula I* Dibutanoate CCL Methanol Toluene 53 79% Dibutanoate CCL Ethanol Toluene 53 28% Dibutanoate CCL Butanol Toluene 53 100% Dibutanoate CCL Octanol Toluene 53 100% *the conversion percentages were evaluated from the ¹H-NMR spectra from the integrations of signals due to the hydrogens in position 21 of the corresponding diesters and monoesters.

Furthermore, the process according to the present invention may optionally comprise a final step of crystallization from an organic solvent, water, buffered aqueous solutions and/or or their mixture.

The organic solvent of said step of crystallization is preferably selected from among diisopropylether, tert-butylmethylether, dichloromethane, ethyl acetate, hexane, acetone, ethanol, water or their mixture at any proportion.

Thus, further object of the present invention are crystalline forms of 17α-monoesters of cortexolone, and their corresponding 9,11-dehydro derivatives.

In particular, an object of the present invention are the crystalline forms of cortexolone 17α-propionate and of 9,11-cortexolone-17α-butanoate.

The crystalline form I of 17α-propionate is preferably obtained through crystallization from tert-butylmethylether. The concentration of 17α-propionate in said solvent is in the range of 0.9 to 1.1 g in 9-11 ml of tert-butylmethylether preferably 1 g in 10 ml. Said crystalline form I is characterized_by a melting point in the range of about 133 to 135° C. and/or a DRX as in FIG. 1 and/or a DSC as shown in FIG. 2 and/or an IR as shown in FIG. 3.

The crystalline form II of I7α-propionate is preferably obtained through crystallization from diisopropylether. The concentration in said solvent is preferably in the range of 0.9 to 1.1 g in 54-66 ml of diisopropylether.

Said crystalline form II is characterized_by a melting point in the range of about 114 to 116° C. and/or a DRX as in FIG. 4 and/or a DSC as shown in FIG. 5 and/or an IR as shown in FIG. 6.

The crystalline form III of 17α-propionate is preferably obtained through crystallization from a mixture of dichloromethane/n-hexane preferably in a ratio of about 1/30, acetone/n-hexane preferably in a ratio of about 1/8, or ethanol/water mixture preferably in a ratio of about 1/2.

The melting point of said crystalline forms III could not be determined.

The crystalline form III obtained from dichloromethane/n-hexane has a DRX as shown in FIG. 7 and/or a DSC as shown in FIG. 8 and/or an IR as shown in FIG. 9. The crystalline form III obtained from acetone/n-hexane has a DRX as shown in FIG. 10 and/or a DSC as shown in FIG. 11 and/or an IR as shown in FIG. 12.

The crystalline form III obtained from ethanol/water has a DRX as shown in FIG. 13 and/or a DSC as shown in FIG. 14 and/or an IR as shown in FIG. 15.

The crystalline form I of 9,11-dehydro-17α-cortexolone is preferably obtained from tert-butylmethylether, diisopropylether, a dichloromethane/n-hexane mixture preferably in a ratio of 1/15, or an acetone/n-hexane mixture preferably in a ratio of 1/5.

The crystalline form I obtained from tert-butylmethylether has a DRX as shown in FIG. 16 and/or a DSC as shown in FIG. 17 and/or an IR as shown in FIG. 18.

The crystalline form I obtained from diisopropylether has a DRX as shown in FIG. 19 and/or a DSC as shown in FIG. 20 and/or an IR as shown in FIG. 21.

The crystalline form I obtained from dichloromethane/n-hexane has a DRX as shown in FIG. 22 and/or a DSC as shown in FIG. 23 and/or an IR as shown in FIG. 24.

The crystalline form I obtained from acetone/n-hexane has a DRX as shown in FIG. 25 and/or a DSC as shown in FIG. 26 and/or an IR as shown in FIG. 27.

The differences observable in the DRX diagrams regarding the form III of 17α-propionate and regarding the form I of 9,11-dehydro derivative are to be deemed irrelevant in that they are due to the phenomena of crystal disorientation. Likewise, the differences observed in IR and DSC are to be deemed irrelevant in that they are due to variations when preparing the sample and/or when performing the analysis.

Table 3 shows some identification parameters and conditions for obtaining the abovementioned crystalline forms.

TABLE 3 Compound Concentrations Melting of formula I Solid (g compound/ml point (monoester) form Solvents solvent) (° C.) DRX DSC IR Cortexolone Crystalline Tert- 1 g/10 ml 133-135 FIG. 1 134.90° C. FIG. 3 17α- form I butylmethylether (ΔH = propionate 40.68 J/g) FIG. 2 Crystalline diisopropylether 1 g/60 ml 114-116 FIG. 4 115.85° C. FIG. 6 form II (ΔH = 46.61 J/g) FIG. 5 Crystalline dichloromethane/ 1 g/15.51 ml n.d. FIG. 7 134.90° C. FIG. 9 form III n-hexane (dichloromethane/ (ΔH = n-hexane 1/30) 42.45 J/g) F′ig. 8 Crystalline Acetone/n- 1 g/9 ml n.d. FIG. 10 134.18° C. FIG. 12 form III hexane (acetone/n- (ΔH = hexane 1/8) 43.83 J/g) FIG. 11 Crystalline Ethanol/water 1 g/24 ml n.d FIG. 13 134.29° C. FIG. 15 form III (ethanol/water 1/2) (ΔH = 43.34 J/g) FIG. 14 9,11- Crystalline Tert- 1 g/24 ml n.d. FIG. 16 137.45° C. FIG. 18 dehydro form I butylmethylether (ΔH = 17α- 62.63 J/g) cortexolone FIG. 17 Crystalline diisopropylether 1 g/96 ml 136 FIG. 19 136.76° C. FIG. 21 form I (ΔH = 60.48 J/g) FIG. 20 Crystalline Dichloromethane/ 1 g/16 ml n.d. FIG. 22 136.65° C. FIG. 24 form I n-hexane (dichloromethane/ (ΔH = n-hexane 1/15) 66.66 J/g) FIG. 23 Crystalline Acetone/n- 1 g/21 ml n.d. FIG. 25 136.49° C. FIG. 27 form I hexane (acetone/n- (ΔH = hexane 1/5) 67.64 J/g) FIG. 26

The existence of a pseudo polymorph crystalline form of 17α-propionate, characterized by the presence of a crystallization water molecule and defined as solvate form IV was determined.

The solvate crystalline form IV of 17α-propionate is preferably obtained through crystallization from an organic/water solvent mixture in a ratio generally in the range of 1/2 to 2/1, preferably from propylene glycol/water in a ratio of 1/1 or polyethylenglycol/water in a ratio of 1/1.

The crystallization of 17α-propionate in solvate form may occur during the formulation processes of the final pharmaceutical form, where the manufacturing process of the pharmaceutical form provides for the dissolution of the active ingredient in an organic solvent, such as for example, propylene glycol, polyethylene glycol or short-chained aliphatic alcohols, followed by the addition of water in a ratio of 1/3 to 3/1 with respect to the organic solvents used for the dissolution of the active ingredient.

Furthermore, an object of the present invention is a pharmaceutical composition containing at least one of the crystalline forms described above in association with at least one physiologically acceptable excipient.

The compositions of the present invention can be of solid, semi-solid, pasty or liquid form and they are preferably selected from among tablets, capsules, powders, pellets, suspensions, emulsions, solutions, creams, gel, ointment, lotions or pastes both ready to use or to be reconstituted before use.

Lastly, object of the present invention is the use, preferably for human beings, of at least one of the crystalline forms and/or solvates described above for the preparation of a medication for treating pathologies affecting the urogenital system, the endocrine system, the skin and/or the cutaneous appendages.

In particular, an object of the present invention is the use of a liquid or semi-liquid formulation for topical administration, such as for example, cream, gel, ointment, emulsion or dispersion containing cortexolone-17α-propionate in the range of 0.1 to 2% by weight, preferably in the range of 0.2 to 1%, in a crystalline form selected from among solvate forms I, II, Ill or IV, preferably in solvate form IV, both in solution and crystalline dispersion states, the latter being possibly obtained also in an extemporaneous manner by precipitation of the crystalline active ingredient upon addition of water or aqueous solution to a solution containing the same active ingredient in an organic solvent or a mixture of organic solvents, for the preparation of a medication for treating pathologies affecting the urogenital system, the endocrine system, the skin and/or or skin appendages.

Additionally, an object of the present invention is the use of a liquid or solid formulation for oral or systemic administration, such as for example, a tablet, capsule, granule or powder containing 9,11-dehydro-cortexolone-17α-butanoate in the dosage in the range of 4 to 65% by weight, preferably in the range of 5 to 50%, with respect to the total formulation when said total formulation has a final weight of 200 mg or in the range of 1 to 25% by weight, preferably in the range of 2 to 20%, when the total formulation has a final weight of 500 mg in a crystalline form selected between solvate forms I, or IV, for treating pathologies affecting the urogenital system, the endocrine system, the skin and/or or skin appendages.

Said pathologies according to the invention are preferably selected from among acne, seborrhoeic dermatitis, androgenetic alopecia, hirsutism, benign prostatic hyperplasia, forms of prostate cancer, male contraception, polycystic ovary syndrome, control of aggressive or aberrant sexual behaviors_and syndrome of precocious puberty.

The following examples are included to enhance the understanding of the present invention without restricting it in any way whatsoever.

EXAMPLES Example 1 Alcoholysis with CCL of Cortexolone 17α,21-Dipropionate

Add butanol (0.4 g, 5.45 mmoles) and CCL (17.4 g, 3.86 U/mg, FLUKA) to a solution of cortexolone-17α,21-dipropionate (0.5 g, 1.09 mmoles) in toluene (50 ml). Maintain the mixture under stirring, at 30° C., following the progress of the reaction in TLC (Toluene/ethyl acetate 6/4) until the initial material is dissolved (24 h). Remove the enzyme by means of filtration using a Celite layer. Recover the cortexolone 17α-propionate (0.437, 99%) after evaporation under low pressure. Through crystallization from diisopropyl ether you obtain a product with a purity >99% in HPLC.

¹H-NMR (500 MHz, CDCl₃) relevant signals δ (ppm) 5.78 (br s, 1H, H-4), 4.32 (dd, 1H, H-21), 4.25 (dd, 1H, H-21), 1.22 (s, 3H, CH₃-19), 1.17 (t, 3H, CH₃), 0.72 (s, 3H, CH₃-18). P.f. 114° C.

Example 2

According to the method described in example 1 prepare cortexolone-17α-butanoate.

¹H-NMR relevant signals δ (ppm) 5.78 (br s, 1H, H-4), 4.32 (dd, 1H, H-21), 4.26 (dd, 1H, H-21), 1.23 (s, 3H, CH₃-19), 0.97 (t, 3H, CH₃), 0.73 (s, 3H, CH₃-18). P.F. 134-136° C.

Example 3

According to the method described in the example prepare cortexolone-17α-valerate.

¹H-NMR relevant signals δ (ppm) 5.77 (br s, 1H, H-4), 4.32 (dd, 1H, H-21), 4.26 (dd, 1H, H-21), 1.22 (s, 3H, CH₃-19), 0.95 (t, 3H, CH₃), 0.72 (s, 3H, CH₃-18). P.f 114° C. (diisopropyl ether).

Example 4

According to the method described in the example prepare 9,11-dehydro-cortexolone-17α-butanoate.

¹H-NMR relevant signals δ (ppm) 5.77 (br s, 1H, H-4), 5.54 (m, 1H, H-9), 4.29 (dd, 1H, H-21), 4.24 (dd, 1H, H-21), 1.32 (s, 3H, CH₃-19), 0.94 (t, 3H, CH₃), 0.68 (s, 3H, CH₃-18). P.f 135-136° C. (acetone/hexane).

Example 5 Alcoholysis with CALB of Cortexolone-17α,21-Dipropionate

Dissolve cortexolone, 17α, 2-dipropionate (0.5 g, 1.09 mmoles) in acetonitrile (40 ml), add CALB (2.3 g, 2.5 U/mg Fluka) and octanol (0.875 ml). Leave the mixture under stirring, at 30° C., for 76 hrs. Remove the enzyme by means of filtration using a paper filter. Once the solvents evaporate, recover a solid (0.4758) which upon analysis ¹H-NMR shall appear made up of cortexolone-17α-propionate at 91%.

Example 6 Crystallization

Add the solvent (t-butylmethylether or diisopropylether) to the sample according to the ratios indicated in Table 3. Heat the mixture to the boiling temperature of the solvent, under stirring, until the sample dissolves completely. Cool to room temperature and leave it at this temperature, under stirring, for 6 hours. Filter using a buchner funnel and maintain the solid obtained, under low pressure, at a room temperature for 15 hours and then, at 40° C., for 5 hours.

Example 7 Precipitation

Dissolve the sample in the suitable solvent (dichloromethane, acetone, ethyl acetate or ethanol) according to the ratios indicated in table 3 and then add the solvent, hexane or water, according to the ratios indicated in table 3, maintaining the mixture, under stiffing, at room temperature. Recover the precipitate by filtration using a buchner funnel and desiccate as in example 6.

Example 8

Obtaining a pharmaceutical form containing the medication in a defined crystalline form.

Prepare a fluid cream containing 2% cetylic alcohol, 16% glyceryl monostearate, 10% vaseline oil, 13% propylene glycol, 10% polyethylenglycol with low polymerization 1.5% polysorbate 80 and 47.5% purified water. Add 1 g of cortexolone 17α-propionate of crystalline form III to 100 g of this cream and subject the mixture to homogenization by means of a turbine agitator until you obtain homogeneity. You obtain a cream containing a fraction of an active ingredient dissolved in the formulation vehicle and a non-dissolved fraction of an active ingredient, present as a crystal of crystalline form III. This preparation is suitable for use as a formulation vehicle for skin penetration tests on Franz cells, where a coefficient of penetration in the range of 0.04 to 0.03 cm/h is observed on the preparation.

Example 9 Obtaining the Pharmaceutical Form Containing the Medication in Solvate Form IV for Replacing the Solvent During the Galenic Formulation Procedure

Dissolve 100 g of cortexolone 17α-propionate of crystalline form III in 2500 g of propylene glycol under stirring at room temperature. Separately prepare, by using a turboemulsifier raising the temperature up to about 70° C., an emulsion with 250 g of Cetylic alcohol, 1500 g of glyceryl monostearate, 1000 g of liquid paraffin, 5 g of mixed tocopherols, 100 g of polysorbate 80 and 4650 g of water. After cooling the emulsion up to about 30° C., add—under stirring and under negative pressure—the cortexolone 17α-propionate solution in propylene glycol. Maintain the emulsioned cream under stifling until you obtain homogeneity, making sure the temperature remains low by means the circulation of a coolant.

The cream contains a dispersed crystalline fraction, made up of an active ingredient in solvate crystalline form IV, formed due to the precipitation of the active ingredient itself from the glycolic solution which contained it when the latter was added to the predominantly aqueous formulation. The DRX spectra of the crystalline form present in the cream are indicated in FIG. 28. 

What is claimed is:
 1. A method of treating a pathology affecting the skin and/or the cutaneous appendages, the method comprising administering to a subject in need thereof an effective amount of crystalline form IV of cortexolone-17α-propionate characterized by a DRX as shown in FIG.
 28. 2. The method of claim 1, wherein crystalline form IV of cortexolone-17α-propionate is applied topically.
 3. The method of claim 1, wherein the pathology affecting the skin and/or the cutaneous appendages is acne, androgenetic alopecia, hirsutism, or seborrhoeic dermatitis.
 4. The method of claim 2, wherein the pathology affecting the skin and/or the cutaneous appendages is acne.
 5. The method of claim 2, wherein the pathology affecting the skin and/or the cutaneous appendages is androgenetic alopecia.
 6. The method of claim 2, wherein the pathology affecting the skin and/or the cutaneous appendages is hirsutism.
 7. The method of claim 2, wherein the pathology affecting the skin and/or the cutaneous appendages is seborrhoeic dermatitis.
 8. A method of treating a pathology affecting the skin and/or the cutaneous appendages, the method comprising administering to a subject in need thereof an effective amount of a composition comprising crystalline form IV of cortexolone-17α-propionate characterized by a DRX as shown in FIG. 28, water, and at least one physiologically acceptable excipient.
 9. The method of claim 8, wherein the administration comprises topically applying the composition.
 10. The method of claim 8, wherein the pathology affecting the skin and/or the cutaneous appendages is acne, androgenetic alopecia, hirsutism, or seborrhoeic dermatitis.
 11. The method of claim 10, wherein the pathology affecting the skin and/or the cutaneous appendages is acne.
 12. The method of claim 10, wherein the pathology affecting the skin and/or the cutaneous appendages is androgenetic alopecia.
 13. The method of claim 10, wherein the pathology affecting the skin and/or the cutaneous appendages is hirsutism.
 14. The method of claim 10, wherein the pathology affecting the skin and/or the cutaneous appendages is seborrhoeic dermatitis.
 15. The method of claim 8, wherein the at least one physiologically acceptable excipient is propylene glycol, cetylic alcohol, glyceryl monostearate, liquid paraffin, or a combination of any of the foregoing.
 16. The method of claim 15, wherein the pathology affecting the skin and/or the cutaneous appendages is acne, androgenetic alopecia, hirsutism, or seborrhoeic dermatitis.
 17. The method of claim 16, wherein the pathology affecting the skin and/or the cutaneous appendages is acne.
 18. The method of claim 16, wherein the pathology affecting the skin and/or the cutaneous appendages is androgenetic alopecia.
 19. The method of claim 16, wherein the pathology affecting the skin and/or the cutaneous appendages is hirsutism.
 20. The method of claim 16, wherein the pathology affecting the skin and/or the cutaneous appendages is seborrhoeic dermatitis. 